CON Request for Waiver of Faculty Immunizations or CPR Requirements: Difference between revisions
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<td>Revised: [[ | <td>Revised: [[Special:PermanentLink/7712|February 2008]]<br />Reviewed: [[Special:PermanentLink/11099|May 2016]]<br />Revised: March 2018 ([[Special:Diff/11099/{{REVISIONID}}|changes]])</td> | ||
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<tr><td colspan="3">Submit completed/signed form to conrecords@unmc.edu</td></tr> | <tr><td colspan="3">Submit completed/signed form to conrecords@unmc.edu</td></tr> | ||
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Latest revision as of 13:49, June 12, 2024
| Home | Appendices |
| UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING |
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| Request for Waiver of Faculty Immunizations or CPR Requirements | Subsection: Appendix M | |
| Section - Appendices | Originating Date: October 2003 | |
| Responsible Reviewing Agency: Executive Council Faculty Coordinating Council |
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| Related documents: 4.2.12 |
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I, ________________________________________________, request a waiver of requirements for the following immunization(s) and/or CPR (please list):
for the following reason(s) (ex. allergy):
| _______________________________________________ | _______________________________ | |
| Faculty Signature | Date | |
| Submit completed/signed form to conrecords@unmc.edu | ||
| Note: For recurring requirements, form should be submitted each time requirements comes due. | ||